基于心理学的健康宣教模式对人工流产术患者认知水平及情感状况的干预效果

The Intervention Effects of Psychology-based Health Education Mode on Cognitive Level and Emotional State of the Patients Undergoing Artificial Abortion

目的:探讨基于心理学的健康宣教模式对人工流产术患者认知水平及情感状况的干预效果。方法:将实施人工流产术引产的患者86例采用随机数字表法分为2组各43例。对照组开展常规护理,研究组在对照组基础上引入基于心理学的健康宣教模式护理。采用Zung编制的焦虑自评量表(SAS)和抑郁自评量表(SDS)及自制的避孕知识量表于入院、人流当天以及人流术后2天对2组患者进行测评;记录2组患者复查率、重复流产率以及坚持避孕率。结果:2组患者于入院当天SAS和SDS评分、避孕知识评分和有效避孕评分比较差异均无统计学意义(P>0.05);研究组患者在人流当天及人流术后2天SAS和SDS评分低于对照组,差异有统计学意义(P<0.05)。人流术后2天研究组患者避孕知识评分和有效避孕评分均高于对照组,差异有统计学意义(P<0.05)。研究组患者随访过程中复查率及坚持避孕率均高于对照组,重复流产率低于对照组,差异均有统计学意义(P<0.05)。结论:基于心理学的健康宣教模式有助于降低人工流产术后患者重复流产率,能减轻患者的负性情感,有利于提高患者的流产相关认知度。

Objective:To discuss the intervention effects of psychology-based health education mode on the cognitive level and emotional state of the patients undergoing artificial abortion.Methods:All 86 patients who were undergoing artificial abortion were assigned to two groups using random number table method,43 cases each group.The control group launched conventional nursing while the experiment group introduced psychology-based health education mode nursing,the patients in both groups were assessed when they were admitted into hospital,at the day of performing artificial abortion and in two days after the surgery using SAS,SDS and selfmade contraceptive knowledge score;persistent contraceptive rate,repeated abortion rate and review rate of both groups were recorded.Results:The difference had no statistical meaning in the comparisons of the scores of SAS,SDS,contraceptive knowledge and effective contraception at the day of hospitalization(P>0.05);SAS and SDS scores of the experiment group were lower than these of the control group at the day of performing surgery and in two days after the operation,and the difference had statistical meaning(P<0.05).In two days after the operation,the experiment group was higher than the control group in contraceptive knowledge scores and effective contraception scores,and the difference showed statistical meaning(P<0.05).The experiment group was higher than the control group in the review rate and persistent contraceptive rate during the follow-up,lower than the control group in repeated abortion rate,and the difference showed statistical meaning(P<0.05).Conclusion:Psychology-based health education mode is helpful to lower the repeated abortion rate of the patients after artificial abortion,relieve negative emotion and raise the relative cognition to abortion.